[Hiring] Hand Surgeon Medical Review Stream Physician @Concentra

Role Description

Are you an accomplished Board Certified physician in one of the below specialties? Candidates must have a TX license.

Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a Monday - Friday work week and within business hours. Create a flexible work schedule and be compensated on a per case basis as a 1099 independent contractor.

JOB SUMMARY: Relying on clinical background, reviews health claims providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with Concentra Physician Review policies, procedures, and performance standards and URAAC guidelines and state regulations.

Qualifications

• Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies that support these services.
• Current, unrestricted clinical license(s) (or if the license is restricted, the organization has a process to ensure job functions do not violate the restrictions imposed by the State Board).
• Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer.
• Must be in active medical practice to perform appeals.
• Post-graduate experience in direct patient care.
• Demonstrated computer skills, telephonic skills.
• Demonstrated ability to perform review services.
• Ability to work with various professionals including members of regulatory agencies, carriers, employers, nurses and health care professionals.
• Medical direction shall also be provided consistent with the requirement that the physician advisor shall not have a financial conflict of interest.
• Must present evidence of current error and omissions liability coverage for job duties and activities performed.
• Managed care orientation.
• Knowledge of current practice standards in specialty.
• Good negotiation and communication skills.

Requirements

• Phone accessibility.
• Access to a computer to complete reviews.
• Ability to complete cases accompanied by a typed report in specified time frames.
• Telephonic conferences.

Benefits

• This position is an independent contractor role for Concentra.

Company Description

Concentra is an Equal Opportunity Employer M/F/Disability/Veteran.

• Concentra is committed to protect patient data and to ensure privacy of personal and medical information.
• Every Concentra colleague has the responsibility to adhere to data protection principles.
• If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.